Complaint Investigation Report

Regarding the allegation, resident's representative was not informed of the bruise, the investigation revealed the following. It was reported that R1 sustained a bruise sometime in November or December 2023. 5 out of 5 staff interviewed reported seeing R1 with a bruise on their left arm but do not know when R1 got the bruise. 5 out of 5 staff reported that they remember seeing R1 with a bruise on their left arm in December 2023. 5 out of 5 staff reported that they did not report the bruise to anyone. R1 reported they did not remember when they sustained the bruise but reported they got it from the bed rail. A review of facility records and Agency records shows no incident report was sent regarding R1’s bruise. R1's responsible party reported they saw the bruise in December and it was not reported to them by facility staff. The facility could not provide any documentation that the bruise was reported to the responsible party. The preponderance of evidence standard has been met, therefore, the allegation, is found to be SUBSTANTIATED

Violations are being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report along with citation and Appeal Rights was provided.